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- Berglund Kristiansson, Elisabeth, et al.
(author)
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A qualitative study of older persons’ experiences of getting individual support with digital needs in the context of home ID 281
- 2024
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In: The first Global Conference on Person-Centred Care. - : University of Gothenburg Centre for Person-Centred Care. - 9789153106708 ; , s. 216-216
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Conference paper (peer-reviewed)abstract
- Background: Digitalization is seen as a necessity to manage the increasing burden on the health care system and is accordingly considered an important tool in the transformation to integrated care (Swedish Nära vård). However, when health care is digitalized older persons are at increased risk of being marginalized and dependent on others due to their generally lower digital competence. To address this, several Swedish municipalities offer individual support to older persons in their own home, a service called Digital Coach (DC). As this service is new, the aim is to describe older persons’ experiences of getting individual support with digital needs in the context of home. Method: Semi-structured interviews (n=14) were conducted with older persons who have had DC support in their home. The focus was on older persons’ experiences of the support. Data was analyzed with qualitative content analysis. Results, preliminary: The overall theme, to be a valued person in the digital society, represents a feeling of being taken seriously and worth investing resources in to gain access to society. Three categories emerged: (1) The need to keep up with the times which means to understand and navigate the new digital landscape with the opportunity for independence and participation, (2) Support and respect in the learning situation, is crucial for feeling comfortable to expose insufficient knowledge, and (3) Increased digital competence empowers autonomy and is manifested as the ability to handle the digital tools and services by your own creates a feeling of joy and satisfaction and increases the opportunity to participate in both social and community activities. Conclusion: The result shows that individual support with digital needs in the context of home increase digital competence in older persons and create feelings of being valued and included in the digital society, which can extend to integrated person-centered care.
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| 2. |
- Hedqvist, Ann-Therese, Doktorand, et al.
(author)
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Bridging Boundaries for Integrated Care : Constructing Interprofessional Collaboration Pathways for Complex Care Needs
- 2024
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In: The First Global Conference on Person-Centred Care: Knowledge(s) and Innovations for Health in Changing Societies. - Göteborg : University of Gothenburg. - 9789153106708 ; , s. 255-256
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Conference paper (peer-reviewed)abstract
- Background: Amid the increasing prevalence of chronic diseases and multimorbidity globally, the quest for integrated care models has intensified. However, empirical evidence on their implementation remains limited. Understanding the intricacies of effective interprofessional collaboration is crucial for achieving seamless integration of care.Aim: This study seeks to construct a grounded theory elucidating the dynamics of interprofessional collaboration across care providers to support integrated care for persons with complex needs.Design: A constructivist grounded theory approach guided the research.Methods: Observational and interview data were collected and analyzed using constant comparative methods to reach theoretical saturation. The sample consisted of 86 participants from diverse professional backgrounds within health and social care sectors, including hospital, ambulance services, primary care, and community care settings.Results: The theory titled “Negotiating Care in Organizational Borderlands” conceptualizes interprofessional collaboration as a complex and layered process. The process encompasses three distinct levels, influenced by how effectively organizational and professional boundaries are navigated. At the fragmentation level, care is disjointed, leading to a lack of cohesion among providers. The dependence level sees professionals relying on each other yet struggling with boundary issues. Ultimately, integration is possible when care providers collaboratively transcend organizational divides, leveraging their collective expertise while maintaining clearly defined accountability lines.Conclusion: Establishing clear pathways for robust collaboration is pivotal for care integration. However, care integration from the patient's perspective does not prevent healthcare professionals from encountering fragmented roles. This underscores the importance of clearly defined accountability lines to support shared responsibility and to bridge gaps across professional and organizational boundaries.Relevance to Clinical Practice: This research emphasizes the need for adaptive collaboration to support integrated care for persons with complex needs. It underscores the importance of clear accountability and communication pathways in organizational borderlands to provide person-centered care and meet individual patient needs.
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| 3. |
- Ingvarsson, Emelie, et al.
(author)
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Older adults’ experiences of coordinated care transitions when being discharged from in-patient care to home
- 2024
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In: The first Global Conference on Person-Centred Care: Knowledge(s) and Innovations for Health in Changing Societies. - : University of Gothenburg. - 9789153106708 ; , s. 198-199
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Conference paper (peer-reviewed)abstract
- Background: The growing number of older adults worldwide coupled with chronic disease challenges already strained healthcare systems. Healthcare and social care is obliged to coordinate care and support upon discharge. In addition, individuals have a legal right and willingness to participate in the planning for support. Despite efforts to make healthcare person-centered and improve the interaction between different healthcare providers in clinical practice, previous research indicates that healthcare systems remain fragmented, having poor coordination when delivering care.Aim: To describe older adults' experiences of being discharged from in-patient care to home.Methods: This study had a qualitative descriptive design, enabling straight descriptions of older adults' experiences of being discharged from in-patient care to home. Individual semi-structured interviews were conducted with 17 older adults (aged 65 years, or older) living in the south of Sweden, with chronic diseases and in need of coordinated care transitions. Data were analyzed using inductive qualitative content analysis.Results: The analysis yielded four generic categories and the main category “Being the main character but not always involved in one's own care transition”. This indicates that older adults are not always involved in the planning and decision-making regarding their care transition leading to a mismatch between actual needs and the expectations of planned support after discharge.Conclusions: The study reveals a notable disparity between the assumed central role of older adults in care transitions and their insight and involvement in planning and decision-making. The findings are significant in the context of person-centered care, which emphasizes the importance of tailoring healthcare services to the individual's unique needs and preferences.
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| 4. |
- Mårtensson, Sophie, et al.
(author)
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Activity-guide – social support efforts aimed at reducing the involuntary loneliness of elderly persons ID 296
- 2024
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In: The first Global Conference on Person-Centred Care. - : University of Gothenburg Centre for Person-Centred Care. - 9789153106708 ; , s. 205-206
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Conference paper (peer-reviewed)abstract
- The function of an activity-guide is an innovative municipal collaborative support effort that fits well into the strategies for healthy ageing and person-centred care. The activity-guide mission is to be a support, a personal contact, for elderly who experience involuntary loneliness in daring to recommence or find new social contexts, such as physical, cultural or creative activities. Today we know that experienced involuntary loneliness over longer period of time not only affects the psychological well-being but also the physical health. Put into perspective, involuntary loneliness is refereed to be as strongly associated with premature death as smoking fifteen cigarettes a day. Simultaneously, we know that involuntary loneliness can be difficult to break by yourself, as perceived loneliness is often surrounded by feelings of shame. Fortunately, today there are good initiatives of collaborative support efforts to break the involuntary loneliness of elderly. One of these good initiatives is this collaborative project between Skövde Municipality and the University of Skövde where the aim is to contribute in development of the activity-guide function and collect data to evaluate the users’ perception and usefulness of the activity-guide function. The project is collecting both qualitative and quantitate data from elderly who have contact with the activity-guide. Preliminary data collected from individual-in-depth interviews with the elderly, shows that the activity-guide have a significant role in resuming or finding new social contexts. Concurrently, the preliminary results show that the elderly want more understanding and knowledge from healthcare providers about how involuntary loneliness affects their health and well-being. In the project, it is planned for focus-group interviews with the persons who are activity-guides in the municipalities that offer their residents this function. This projects knowledge can be used for a deeper understanding of what enables and prevents elderly person from daring to recommence or find new social contexts.
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